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Colorado rates for HCPCS 15200

Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,414.00 / $5,503.00 / $10,651.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$595.66 / $759.81 / $1,083.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,434.00 / $5,126.00 / $9,729.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$786.35 / $1,045.65 / $1,603.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$698.36 / $916.96 / $1,274.85
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$689.37 / $903.88 / $1,212.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.15 / $1,089.26 / $1,659.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,852.00 / $6,090.00 / $14,057.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.48 / $1,079.53 / $1,706.45